05D2228426 CLIA NUMBER - BRIGHTSTAR CARE OF CARMEL VALLEY & RANCHO SANTA FE

Laboratory Demographics

  • CLIA Code: 05D2228426
  • Facility Name: BRIGHTSTAR CARE OF CARMEL VALLEY & RANCHO SANTA FE
  • Facility Address: 9627 VIA EXCELENCIA STE 102A
    SAN DIEGO, CA
    ZIP 92126
  • Facility Phone: 858 247-1111
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BRIAN GRAHAM
  • NPI Number: 1578741062
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2228426
LAB Type Home Health Agency
Facility Name BRIGHTSTAR CARE OF CARMEL VALLEY & RANCHO SANTA FE
Street 9627 VIA EXCELENCIA STE 102A
City SAN DIEGO
State CA
ZIP 92126
Phone 858 247-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Home Health Agency
Lab Director BRIAN GRAHAM

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This page was last updated on: 9/29/2025